ASC Stroke Data Management & Registry Reporting 2

Question 1

When performing chart abstraction for GWTG-Stroke, which patient population is EXCLUDED from IV alteplase eligibility measures?

Accepted Answer

Patients with NIHSS score of 0 at arrival who had transient symptoms

Answer

Patients who arrived within 3 hours of symptom onset

Answer

Patients with confirmed ischemic stroke who received alteplase

Answer

Patients transferred from another acute care facility

Question 2

A stroke coordinator identifies that 12 out of 80 eligible ischemic stroke patients did not receive antithrombotic therapy by the end of hospital day two. What is the compliance rate for this measure?

Accepted Answer

85%

Answer

75%

Answer

80%

Answer

90%

Question 3

Which data element is required in stroke registries to document why an eligible patient did NOT receive IV alteplase?

Accepted Answer

Contraindication or reason for non-treatment

Answer

Attending physician specialty

Answer

Patient insurance status

Answer

Time of neurology consult

Question 4

In stroke data abstraction, 'last known well' (LKW) time is used primarily to determine eligibility for which intervention?

Accepted Answer

IV alteplase and endovascular thrombectomy time windows

Answer

Carotid endarterectomy scheduling

Answer

Anticoagulation initiation

Answer

Statin therapy initiation

Question 5

A stroke coordinator is reviewing GWTG-Stroke data and notices the center's DTN median is 68 minutes. What is the recommended target to meet AHA/ASA guidelines?

Accepted Answer

≤60 minutes

Answer

≤30 minutes

Answer

≤45 minutes

Answer

≤90 minutes

Question 6

During a GWTG-Stroke data validation audit, which action best ensures data accuracy for submitted stroke cases?

Accepted Answer

Reconciling registry entries against original medical record source documents

Answer

Submitting all cases without secondary review

Answer

Relying solely on nursing flowsheet documentation

Answer

Extracting data only from physician discharge summaries

Question 7

Which GWTG-Stroke achievement award recognizes consistent top performance on all stroke quality measures over a 24-month period?

Accepted Answer

Gold Plus Quality Achievement Award

Answer

Silver Plus Quality Achievement Award

Answer

Target: Stroke Elite Plus Honor Roll

Answer

Stroke Champion Designation